Anterior Cervical Discectomy and Fusion | ACDF
An ACDF, or an anterior cervical discectomy and fusion is a surgical treatment that involves removing a degenerated or herniated cervical disc (in the neck) and fusing that segment of the cervical spine. The purpose of an ACDF, sometimes referred to as a cervical decompression, is used to restore cervical spine stability. anterior means the surgery is done from the front of the neck; cervical, indicates where in the spine (neck area); discectomy, means to remove a disc; and fusion, is the process of permanently join two bones together to create stability.
Cervical Disc Herniation
The spine is separated into three sections: cervical spine, thoracic spine, and lumbar spine. The cervical spine (neck area) is made up of seven upper vertebrae (numbered C-1 through C-7), which attach to the skull and hold up the head. The base of the c-spine connects to the thoracic spine at the upper back, near the shoulder.
Cervical Disc Replacement
In the past, most surgeons would surgically correct cervical disc disease by replacing the disc with an artificial material and fuse the upper and lower vertebrae together. A potential problem with fusion can be the propensity for adjacent bones to degenerate above and below the fusion. (Also called adjacent level disease). Newer technology and the advancement of replacement materials and methods have now made it possible to replace the disc without fusing the vertebrae together.
Cervical Spinal Stenosis (Myelopathy)
Spinal stenosis is a narrowing of the spaces in the spine, which leads to pinched or compressed nerves that result in pain and numbness. Spinal stenosis surgery strives to release the pressure on the affected nerves to restore healthy nerve function and eliminate or reduce pain.
Degenerative conditions of the lumbar and cervical spine
Degenerative disc disease occurs when the discs that cushion the vertebrae in the spine begin to break down. These discs can wear out and cause pain for a number of reasons. They can dry out, making them flatter so that they provide less cushion to the bones of the spine. Spinal discs can also crack, split, bulge or slip out of place. The standard surgical treatment for degenerative disc disease is spinal fusion, though artificial disc surgery is becoming a popular option as well.
Failed back surgery
If you’ve already undergone back surgery but have not achieved the results you desired, BICMD can help. Pain after back surgery means that some aspect of your anatomy is still not in the proper condition or position. We can help you choose the right surgery to finally achieve pain-free results.
Lumbar Disc Herniation
The lumbar spine is located in the lower back and is made up of the 5 lower vertebrae and the sacral spine (4 tiny bones that make up the coccyx (tail bone)). The lumbar vertebrae are numbered L-1 through L-5 and is the most common area for a herniated disc. The experts at BICMD are the “best-in-class” orthopedic spine specialists in the country. They can diagnose lumbar spine conditions through a telemedicine visit and will offer the best treatment advice for your individual back pain, disc herniation or other spinal condition.
Lumbar Spinal Stenosis
Lumbar spinal stenosis, also called central stenosis, is a condition that occurs in the lumbar (lower back) area of the spine. The lower spine is made up of five lumbar vertebrae that house the spinal cord, an intricate bundle of nerves, (part of the central nervous system) which originates from the brain and travels through the spinal canal.
Lumbar fusion is a surgical procedure used to permanently connect two or more of the vertebrae (spinal bones) in the lower back. The goal of lumbar fusion is to create one single solid bone that is “fused” together. Lumbar fusion is done to eliminate painful motion and to restore stability to the spine. Lumbar spinal fusion should only be considered when your surgeon can pinpoint the exact source of your lower back pain.
Scoliosis is an unnatural curvature of the spine. When seen from the back, the spine of a scoliosis patient will present as some sort of S shape, rather than straight up and down. The surgical treatment for scoliosis is typically a spinal fusion surgery. In spinal fusion surgery, the spine is straightened and then held in its new position via a combination of carefully placed rods and screws.
Spinal cord injuries
A spinal cord injury is a serious condition that requires expert care. Though there are no current treatments to reverse damage to an injured spinal cord, surgery is often required to prevent or minimize any further damage. The type and extent of the spinal cord injury dictates what kind of spinal surgery is the appropriate treatment.
Spinal Tumors and Cysts